# CPT 78580: Pulmonary perfusion imaging

Medicare CPT 78580 pays $209.42 in a non-facility setting and $209.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $182.37 in Arkansas to $243.55 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/78580-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $209.42 |
| National facility | $209.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $243.55 | $243.55 |
| California | $242.55 | $242.55 |
| Washington | $235.20 | $235.20 |
| New Jersey | $233.90 | $233.90 |
| Hawaii | $233.33 | $233.33 |
| New York | $232.64 | $232.64 |
| Massachusetts | $232.26 | $232.26 |
| Alaska | $232.12 | $232.12 |
| Connecticut | $224.53 | $224.53 |
| Colorado | $220.82 | $220.82 |
| Oregon | $218.65 | $218.65 |
| Maryland | $217.71 | $217.71 |
| New Hampshire | $216.58 | $216.58 |
| Rhode Island | $215.62 | $215.62 |
| Minnesota | $212.84 | $212.84 |
| Florida | $212.56 | $212.56 |
| Puerto Rico | $211.39 | $211.39 |
| Virgin Islands | $211.39 | $211.39 |
| Montana | $209.42 | $209.42 |
| Nevada | $209.16 | $209.16 |
| Wyoming | $208.73 | $208.73 |
| North Dakota | $207.84 | $207.84 |
| South Dakota | $207.65 | $207.65 |
| Delaware | $207.08 | $207.08 |
| Texas | $206.53 | $206.53 |
| Vermont | $206.28 | $206.28 |
| Pennsylvania | $206.08 | $206.08 |
| Illinois | $205.78 | $205.78 |
| Virginia | $205.53 | $205.53 |
| Arizona | $203.38 | $203.38 |
| Georgia | $201.58 | $201.58 |
| Maine | $200.30 | $200.30 |
| Wisconsin | $199.90 | $199.90 |
| Michigan | $199.37 | $199.37 |
| Utah | $198.19 | $198.19 |
| North Carolina | $196.22 | $196.22 |
| South Carolina | $195.14 | $195.14 |
| New Mexico | $194.80 | $194.80 |
| Indiana | $194.71 | $194.71 |
| Missouri | $194.34 | $194.34 |
| Nebraska | $193.69 | $193.69 |
| Louisiana | $193.66 | $193.66 |
| Ohio | $193.55 | $193.55 |
| Idaho | $193.40 | $193.40 |
| Iowa | $192.28 | $192.28 |
| Tennessee | $191.56 | $191.56 |
| Kansas | $190.56 | $190.56 |
| Oklahoma | $189.28 | $189.28 |
| Kentucky | $188.92 | $188.92 |
| West Virginia | $186.64 | $186.64 |
| Alabama | $185.43 | $185.43 |
| Mississippi | $183.33 | $183.33 |
| Arkansas | $182.37 | $182.37 |

## Related codes

- 78012: Thyroid uptake, single or multiple quantification — https://www.med-reveal.com/rates/78012-cpt-fee-schedule
- 78013: Thyroid imaging, with or without uptake — https://www.med-reveal.com/rates/78013-cpt-fee-schedule
- 78014: Thyroid imaging, with uptake and stimulation/suppression — https://www.med-reveal.com/rates/78014-cpt-fee-schedule
- 78015: Thyroid carcinoma metastases imaging, limited area — https://www.med-reveal.com/rates/78015-cpt-fee-schedule
- 78070: Parathyroid planar imaging — https://www.med-reveal.com/rates/78070-cpt-fee-schedule
- 78075: Adrenal imaging, cortex and/or medulla — https://www.med-reveal.com/rates/78075-cpt-fee-schedule
- 78102: Bone marrow imaging, limited area — https://www.med-reveal.com/rates/78102-cpt-fee-schedule
- 78185: Spleen imaging — https://www.med-reveal.com/rates/78185-cpt-fee-schedule

Commercial negotiated rates for 78580 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules